Department Name:

Actuarial-BHN Cntr

Work Shift:

Day

Job Category:

General Operations

Estimated Pay Range:

$27.72 - $46.20 / hour, based on location, education, & experience.

In accordance with State Pay Transparency Rules.

Great options and opportunities. We’re certified as a Great Place To Work® and are looking for professionals to help us make Banner Health the best place to work and receive care. Apply today!

Banner Plans & Networks (BPN) is an integrated network for Medicare and private health plans. Known nationally as an innovative leader, BPN insurance plans and physicians work collaboratively to keep members in optimal health while reducing costs. Supporting our members and vast network of providers is a team of professionals known for innovation, collaboration, and teamwork. If you would like to contribute to this leading-edge work, we invite you to bring your experience and skills to BPN.

This is a fully remote position and available if you live in the following states only: AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WV, WA, WI & WY.

Banner Health Network (BHN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County. Through BHN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members in optimal health, while reducing costs.

POSITION SUMMARY

This position listens to financial leaders, utilizes curiosity and rigor while investigating underlying problems through quantitative analyses of utilization and healthcare costs data. This position executes the process of refining data into information in order to present findings that are both informative and directional.

CORE FUNCTIONS

1. Provides accurate and timely management and regulatory reports by accessing information from a variety of sources and utilizing consistent reporting formats and clear presentations to support leadership decisions and medical programs. This position develops a basic knowledge of the assigned medical market to provide financial proformas and program efficacy presentations.

2. Supports key Medical Economics processes within assigned area or region, identifies and reports on the success of operating improvements, and identifies medical and financial trends or irregularities.

3. Follows processes to implement changes through analysis of medical claims, prior authorizations, laboratory results, EMR and other data elements. They aid with the  presentation of ongoing financial indicators and education programs based on the needs of assigned business unit(s).

4. Works on low complexity problems in which analysis of situations or data requires an in-depth evaluation of various factors.

MINIMUM QUALIFICATIONS

Requires a Bachelor's degree in Math, Finance, Statistics, Accounting, Healthcare Administration, Business Administration, or equivalent experience.

Zero to two years of experience.

Basic technical skills in software for data analysis; specifically, data extraction and manipulation (e.g. SAS, Teradata, R) and data visualization (e.g. Power BI, Tableau), or exposure to healthcare or finance.

PREFERRED QUALIFICATIONS

Experience in data driven discussions and quantifying cause and effect relationships. Experience in analytics, problem solving or data modeling skills.

Additional related education and/or experience preferred.

EEO Statement:

EEO/Disabled/Veterans

Our organization supports a drug-free work environment.

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